MARTHA A CAVALLO
Advanced Practice Registered Nurse


Address: 111 Park Drive, Boston, MA 02215

MARTHA A CAVALLO (Credential# 679975) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 1999. The license expiration date date is December 31, 2000. The license status is INACTIVE.

Business Overview

MARTHA A CAVALLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001796. The credential type is advanced practice registered nurse. The effective date is November 1, 1999. The expiration date is December 31, 2000. The business address is 111 Park Drive, Boston, MA 02215. The current status is inactive.

Basic Information

Licensee Name MARTHA A CAVALLO
Credential ID 679975
Credential Number 12.001796
Credential Type Advanced Practice Registered Nurse
Business Address 111 Park Drive
Boston
MA 02215
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-03-13
Effective Date 1999-11-01
Expiration Date 2000-12-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
649335 10.R49587 Registered Nurse 1994-01-14 1999-11-01 - 2000-12-31 INACTIVE

Office Location

Street Address 111 PARK DRIVE
City BOSTON
State MA
Zip Code 02215

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Bhaskar Roy 111 Park Drive, Boston, MA 02215 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

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Providence Strategic Growth Europe, Lp Landmark Center, Boston, MA 02215 Securities - Exemptions ~
Dana-farber Cancer Institute Inc 450 Brookline Ave, Boston, MA 02215 Nonresident Pharmacy ~
Kelly Zhang 400 Brookline Ave, Boston, MA 02215 Pharmacist 2020-02-01 ~ 2022-01-31
Red Sox Foundation 4 Jersey Street, Boston, MA 02215 Public Charity 2019-12-01 ~ 2020-11-30
James V Hennessey Beth Israel Deaconness Mc, Boston, MA 02215 Physician/surgeon 2020-01-01 ~ 2020-12-31
Marc-david Munk 136 Brookline Ave, Boston, MA 02215 Physician/surgeon 2018-06-01 ~ 2019-05-31
Walgreens #10996 429 Brookline Ave., Boston, MA 02215 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
Inga-marie Schaefer 19 Queensberry Street, Boston, MA 02215 Physician/surgeon 2018-02-01 ~ 2019-02-28
David E Denny 51 Park Dr #2, Boston, MA 02215 Professional Engineer 2012-03-12 ~ 2013-01-31
E Kevin Schopfer · Ahearn-schopfer & Associates PC 400 Commonwealth Ave, Boston, MA 02215 Architect 2015-08-01 ~ 2016-07-31
Find all Licenses in zip 02215

Competitor

Search similar business entities

City BOSTON
Zip Code 02215
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + BOSTON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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